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HomeMy WebLinkAbout0065 NORTH WINDS LANE ;'his � ''4, '4 w,A�; ca,p".. e. �` I I ' � _ _ 1i r � ° l tl 1 �� � � �1 i ' a �, �� � � ������7 �� �, 0 _ _ _ --- - T' _._. 1 ftn ,l b"11_ pq Parcel 41'3 -AA' y Perrml\t# Conservation Office(4th floor)(9.30-9:30/1:00-2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee 7 Engineering Dept.(3rd floor) ouse S P:Js I,,, ® Planning Dept.(1st floor/School Admin. Bldg.) I FALLER E� �n WITH e!6ARNsT LB. 1 im a Plan Approved b Plannin Board O 19 �. ?: PP Y --��I���I�i�N'� a/(.',e, C- TOWN F BARNST Building Permit Application AV 51 ct Street Address Village �vai2�( TS( Owner _-D&AL Address ;Peg . ox /a`F'S� ,(2�elephone Permit Request 12, r. as first Floor b N i. .50 od square feet econd Floor X square feet T Estimated Project Cost $ / a Zoning District e Flood Plain Water Protection Lot Size 1 , D 4 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type o-a Commercial Residential 01 Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure .J E', o Basement Type: Finished Historic House Unfinished Old King's Highway '72--h Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel FifA'x 6;s Central Air �.ro Fireplacesz ga-V A- Garage: Detached Other Detached Structures: Pool Attached ;2— Barn None Sheds Other Builder Information Name �P�G tD l Y' A.Q_9 A-Atd_. Telephone Number c5 4 el /6!0 Address J`7 p , �jp 1 l g Z License# p Co► -1 6 d \� nt vri� 0 ZCp.(p Home Improvement Contractor# 5147 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PER T DE7LIDD FOR THE F LOWING REASON(S) Ao q4 A• FOR OFFICIAL USE ONLY i PERMIT NO. ,g DATE ISSUED MAP/PARCEL NO. ADtibRESS _ VILLAGE O'WN ER _ DATE OF INSPECTION: FOUNDATION �y FRAME, �' �c� Lm INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. COMMONWEALTH OF (• ® DEPARTMENT OF PUBLIC SAFETY —� ONE ASHBORTON PLACE ' MASSACHUSETTS BOSTON,MA 02108 I EXPIRATION DATE RESTRICTIONS I EFFECTIVE DATE LIC NO. I PHOTO(BLASTING OPR ONLY) FEE: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ' )( HEIGHT: srr.MPED-pg.SIGNATURE OF THE COMMISSIONER /' THIS DOCUMENT MUST BE CARRIEDON THE PERSON OF I ' THE HOLDER WHEN EN- SI(, ATURE OF LI NSEE OTHERS•RIGHT THUMB PRINT GAGED IN THIS OCCUPATION, I A I j s 1 1 r _ F �s-� c�� � � W� ��� lS�o�- � � '412 S 4 1 61U,05-2t ii Application to I e•PMs,`�N`'``P�`N Old.Kings Highway Regional Historic District Committee in the Town of Barnstable fora CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: New Building ❑ Addition ❑ Alteration Indicate ty pe of building: House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑.Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY y : / DATE ADDRESS OF PROPOSED WORK _ 6/�T Z� N .t'TN .L&y,0,S ASSESSORS MAP NO. OWNER //.LAM' ASSESSORS LOT NO. HOME ADDRESS _A C)X I t a,9W/CW �-&EL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). K CLAC/L' ox—rY /iA/as s(l Az &2N-S'r4.5 Lie AGENT OR CONTRACTOR TEL. NO. c ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed . owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. Dt he Certif' cis hereby Datc oZ Ti L 1M4 By GCS 4;Xf' TOWN OF BARNSTABLE rN,^�C,,IS HIG AY IMPORTANT If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act err N OLD KING'S HIGHWAY HISTORIC DISTRICT SPEC SHEET FOUNDATION )our eCy11C)Q:-7-6- SIDING TYPEZL _ Him c.Es ' L&O4r' COLOR� I CHIMNEY TYPE ,q.�G,�//�/ COLORy ROOF MATERIAL „i�9 66 , COLOR i—/ FT PITCH lG WINDOWS 6r CJVdE C/--i rF . SIZE G-Q�lZA TRIM COLOR i r� DOORS U i'�r7,0;:l_ �,� clap. Cv -/�„J,�,-L. COLOR /`"l%�IcCJOi1./ SHUTTERS A..�, ifs£.), e_7iLliii7�/>-3.? , A 1_1/�PVCfic/ GUTTERS_ JMcia DECK GARAGE DOORS /i,4.T /11_41 COLOR Notes : Fill out completely. Including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application . along with three copies each of the plot plan. landscape plan and elevation plan; , when applicable . 'Plot plan need not be "Certified" . but should shc•.r all structures on the lot to scale . r Royal Insulated Steel Entry System SPECIFICATIONS/ TECHNICAL INFORMATION I1 1/`#tl Brickmould 2° 1 t/16" I I Standard—Aluminum Sill 49/16" Primed Jamb 33/4-1 Flat Casing with adjustable hardwood threshold T r 5" - � 49/16", J /16" and 69/16" (Available 5"and 7") Clear'Pine Jamb Aluminum Handicap Sill w/thermal break 53/16" Primed Jamb 0 170 OF DOOR 111�t61 , 69/te" Primed Jamb 41/21- Aluminum Sill —Outswing OAKJambs and Brickmould Casing CapelCod Primed Casing Oak Sill (Inswing) (Andover Only) Clear 49/16"and 69/16"jamb one piece solid oak Oak Sill (Outswing) - ROYAL STEEL DOORS - 'CAUTION' TEST DATA WATER INFILTRATION TEST tort:DOOrS Dark I'alnt, "One Step Better"isBROSCO's statement in steel door unit testing. Dssed` oors alid light inserts are painted r The Optional Performance Test,the most demanding of water infiltration r - �ar�c�exposed,to direct rays of the'sun tests,shows BROSCO's Royal Exterior Steel Door Unit to be the only d ft r ko� doors installe ,th , e tpnhperature oq unit to successfully pass the 6.24 PSF @ 50 mph(gal./hr./s.f.)requirement oormaycausea•distdrtiorion for the prescribed 15 minutes.For further information,consult BROSCO �,^,�}e• ,:{, Office. :r AIR INFILTRATION TEST u The ISDSI criteria level cannot exceed.2 cfm/foot of crack length at a FIRE LABELS static pressure of 1.567 Ibs./s.f.which is approximately equal to a 25 DOORS(8-1&SS-1,BE-70 &SS-70,BE-68,BE-99&SS-99 only): mph wind.BROSCO air infiltration is an extremely low.013 cfm! BROSCO Royal Steel doors may be used whenever the loco.code calls THERMAL PERFORMANCE(HEAT LOSS BY TRANSMISSION) fora 1 112 hour fire rated opening,but does not require an Underwriters' When combined with the air infiltration test,the resulting figure is the label. For example, many local codes require openings in i,partment door insulation system index(D.I.S.I.).This index was established by corridors to have a minimum fire rating of 1 hour.BROSCO steel doors the insulated Steel Door Systems Institute as a standard method of can be used in this application. rating energy loss through an insulated steel door system.The D.I.S.I. number should therefore be used as a standard unit of measure. Firerating appliesto doorsthat have not been altered,i.e.,provided BROSCO has a D.I.S.I.numberof 1.6.The ISDSI acceptable level is 5.0. with glass lights,louvers,or other than standard hardware. The lower the number,the better the insulation value and,therefore, WOOD FRAMES: the more energy saved. Optional 20 minute fire rated wood doorframes in 2-8,3-0 and 3-6 x BROSCO Royal Steel Entry Doors carry an R-value of 10.08, 6-8 single door opening sizes. provide increased security(ASTM Grade 40)and superior sound control(sound transmission classification of 29). Test results achieved utilizing BROSCO frame components with our premium aluminum sill. S-24 Brockway-Smith Company APRIL 1995 ,oFtME,a,� The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services V MASS. t639. Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location G;5 0 n R411i w Permit Number Owner Builder One notice to remain on jobsite, one notice'on file in Building Department. The following items need correcting: OL /00 lf?04le )41PU4 ct '� A�. • �Y ''—►��.1 S c.��n-r�e e� n�J Y-�'it?" t AJ-tt�r�/L (�i �� 5 / �� �JQ'i""T�/L_- r—,- T r� �a� `) �®vi•'S�1 '�G l i1 T�L. « )�-�(-(" y�` I - I Please call: 508-790-6227 four reeinspection. . Inspected by !, Date 1 Ji') I q-7 � 1 ` TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY (Good for 90 days only) , . PARCEL ID 109 013 004 GEOBASE ID 41439 ADDRESS 65 NORTH WINDS LANE PHONE yV, BlArnstable ZIP - ILOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 20464 DESCRIPTION SINGLE FAMILY DWELLING (PMT.015602) PERMIfi. TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT a h CONTRACTORS: Departinent of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $..00 Ox11�E ' CONSTRUCTION COSTS $.00 * BAMSTABLE, ' I MASS. OWNER MELCHER, DANIEL ROY'.. 163 ADDRESS P 0 BOX 1394 ED M1�A SANDWICH-. MA BUILDING DIVISIO BY DATE ISSUED 01/10/1997 EXPIRATION-PATE ( - +' 'Fw1sb."..�peeiL�,_ele.`•Ii,.,�7- f...r.,'y�.'_b"_ .___....,'` '_E�_:._.<i'•4t'`,,� 14 j RIP Pt UL PIP, 1 d 'wr�:.J Department of Health, Safet and Environmental Services = )s E a C. :{ RARNWAB • !b� r , BUILDING DIVISION; .., BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 97 a��/cTf s .�-rjr.2/�✓� 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT ticr���? P` p °►" 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL N_ •")GEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR H. <., iOVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. OF'BARNSTABLE IS CERTIFICATE OF OCCUPANCY _ PARCEL ID .109 013 004 GEOBASE ID 41439 iADDREBS 65 NORTH WINDS LANE PHONE W. Barnstable ILOT 24 BLOCK LOT SIZE IDBA DEVELOPMENT DISTRICT WB i PERMIT 204.64 DESCRIPTION SINGLE FAMILY DWELLING (PMT_#15602) PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT. CONTRACTORS: Department of Health, Safety ARCHITECT:- and Environmental Services TOTAL FEES: BOND $.00 Ox CONSTRUCTION COSTS $,00 756 CERTIFICATE OF OCCUPANCY * BARNSTABM MASS. OWNER MELCHER, DANIEL ROY i639. ADDRESS P 0 BOX 1394 FD1 SANDWICH MA BUI G SIO. i BY DATE ISSUED 01/10/1997 EXPIRATION DATE {• e STABLE ,, PERMIT ' PARCEL I*D 109 01.3 004 GRC)BASE ID 41439 it ADDRESS 65 NORTH WINDS LANE PHONE I W. Barnstable ; ZIP* - LUT 24 BLOCK LOT SIZE DBA DEVELOPMENT D� t�CT Pr'F3 PERMIT 15602 DESCRIPTION SINGLE FAMILY DWELLING ,.((SEw_p 'it94=19?..) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT t CONTRACTORS: MARSHAT,L, DAVID Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $347. .57 �TNE ( BOND $.00 'CONSTRUCTION COSTS - __ $112;120.00 101 SINGLE FAM fiOMF. DETACHED 1 PRIVATE P * Hd►RNSTABM • r i6A ` OWNER' . . MLLCHER, DANIEL,_ROY : �EDM�A ADDRESS P' 0 BOX 1394 t BUILDING DIVISION' SANDWICH MA BY DATE ISSULD 06/04/1996 EXPIRATION DAW. � THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE . 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH n (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. I 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS / JJ 0 '9�Z ct!/J �t—oA/C ell. Ole mC ZY6 G�AI/wu �y 01 LvyvcL Aav 2 2 4j 2 .570/J if Gf/I/�!I✓G�/�/�'C 3 pfo`Q 7 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT / v Y / ����.c- SSE �Ilv�f 2 - /�j�7 BOARD OF HEALTH / r OTHER: SITE PLAN REVIEW APPROVAL (/7 f7 WORK SHALL K;, ;")CEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HF­'Ak-,,:ROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. DING . BU11 � PERMIT i `a LOT 21 LOT 23 O I 6 LOT 24 � ry. 44,241 sq.ft 1.02 Acres CONC. FOUND. .00 S Rs� LOT 25 ?o�;`� 0� JOB # 96-067 I CER TIFIED PL 0 T PLAN s LOCATION : NORTH WINDS LN. W. BARNSTABLE, MA PREPARED FOR: SCALE : 1" = 50' DATE : JULY 11, 1996 REFERENCE LOT 24 PB 462 PG 33 DA VID MARSHALL 1 HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. OF aA 5W 3E2-4541 I faxoff eos 362-4M • RV down nape engineering, ino. C= ENGMEERS LAND SURVEYORS -- �� �--- ---- — 939 main sL ynrmouth, ma 02675 DATE u RVEYOR •+'--1 Z•Jtc• Comnuanircalth of Afassackwells ' •.� ' '• • Dc'f7ar11lJCJJt Of lildustrial Accidents 6110 0ashingronStreet " . '_y '• Bua-ion.Maas 02111 Workers' Compensation Insurance.AMdavit _.. _.. . ,q-� �, /� t � W+ V e�/ �4 nhnne 394— 1051 e) Q 1 am a homeowner performing all work:myself. I am a sole proprietor and have no one working in any capacity lam an employer providing workers' compensation for my employees working on this lab. m __ nhone NI- in�iir=rnc re nolicr d r• .r -w.-----trr..�:...------• 1 am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below wi the following workers' compensation polices.• COMMIM, r= >� z M city- 19haneon sU �t� � sat. •_rqr %'�'•' i• _ .�w}5,•f+rls cmm�am nameUC� ^��L��` 111C address.city- F -mow Z A —Z Z� i .. -�pp Attaehadditioaal'sheetitaeet�sa •r-++:�-ter• -�-�•� =•�+•-: • • �� """"•' "+`• Failure to ditl6secur coverage as required under Stettoa 3A of AIGL 152 an Ind to the imposition of erimiad penalties of a Gee op to d1300.00 r one rears'imprisonment as•cell as civil penalties is the forte of a STOP%YORK ORDER and a line ofSltlo.00 a day aptitu►t ma I nadestaad Cop,of this statement may be forwarded to the OMce of Investigations of the DIA for tentage nrillmdon- 1 do hem,hy errrifT der r!e p • s a put palur3•that the informmioa psvrided above is true tied comm '"Skrm=M Print nam /G one# 7tyo oniv_ do not%Trite is thh area to be completed by City or lotto o1lltsal permitAtecose tY r'itluilding Department n• DucCodug Board immediate response is required QSeleettaea's tmtx �tinllh Department nUther phone N. t •Information and Instructions =� Massachusetts Gencral Laws chapter 152 section 25 requires all employers to provide workers' cClmpcnsatiatt f employees. As quoted from the "law".an emplmlee is defined as every person in Utc srn►ice of another under:, contract of hire, express or implied. oral or written. An emplm►cr is defined as an individual, partnership.association. corporation or other :_gal entity, or any two c the foregoing cligaged in a joint enterprise.and including the legal representatives of a deceased employer, or d receiver or trustee of an individual , partnership.association or other legal entity, employing employees. Howe- owner of a divellin�= house having not more than three apartments and who resides therein• or the occupant of th dwelling,house of another wito employs persons to do maintenance,construction or repair work on such dwelli or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an em MGL chapter r52 section 25 also states that ever}•state or local licensing agency shall withhold the issuance renewal of a license or permit to operate a business or to construct buildings in the commonwealth for an, applicant♦ho has not produced acceptable evidence of compliance with the insurance coverage required. nor any of its political subdivisions shall enter into any contract for the Additionally.neither die commonwealUt performance of public work until acceptable evidence of compliance with the insurance requirements of this chn been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation supplying company names. address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are rec to obtain a workers' compensation policy, please call the Department at the number Itsted below. • fir• Y i'IM7•rz%�•• City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bott the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be recur the Department by mail or FAX unless other arrangements have been made. 71te Office of Investigations would like to thank you in advance for you cooperation and should you have any que please do not hesitate to give us a call. :.raw. •.« ... ..v. �.. _•:�✓ r._T .r... ice•..::•ii��•••!1v�f�_0.T.:,•w•J :�••w.: - • The Department's address, telephone and fax number. WA The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations _. 600 Washington Street Boston,Ma. 02111 1 .'> i' � j 1 1•` r _ is r •/ � r r •t.' •+• � ,t. .>' '.1' }• 1y A i' � r rr .f:'u' ,•.' �, +�, , r '.,.1 - '.�- >•. r .4•T ., ti':" I� '!�• -,ir k�)'.'> 1 '�i.: % r tw �.� � � ale ; ,1, ta COMMONWEALTH, r ~ ,DEPARTMENT OF PUBLIC SAFETY _ . OF _ ONE ASHBORTON PLACE - MASSACHUSETTS . l� BOSTON,MA 02108 - EXPIRATION DATE - - t LICENSE 5. CAUTION 07/30/'1997 ' CONSTR. SUPERVISOR ` RESTRICTIONS EFFECTIVE DATE uC-NO. FOR PROTECTION AGAINST 'THEFT, PUT RIGHT THUMB. 4. PRINT IN APPROPRIATE 00 r" 01/1 1 / 1994 06 17.04 . BOX ON LICENSE DAV I D J MARSHALL # BLASTING OPERATORS 15 1 i)Y LN �` MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) FEE: aw�llls tp S YARMOUTH MA 02664 8/aae Rosseasacdr�19t NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY !, �Ca.Y2l3! HEIGHT: STAMPED-0 -SIGNATURE OF THE COMMISSIONER ode�S Q _ - THIS DOCUMENT MUST BE SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDON THEPERSON OF SI �. TORE OFU NSEE - • THE HOLDER WHEN EN- ' ' OTHERS-RIGHT THUMB PRINT GAGEDINTHISOCCUPATION, Jill, s , HOME -, a 91StC8t1OR s �' FxPtrat laa Q4/QT'' N AF47 . �BAV,[p JHAt f ti - AonaNforesg 1 rsiA 4 SO rARMOUTN � ' MAC 0266I ' --• {:;{,_A�OI�D.•� �� � _bdTE.ldeMfDrit�nt►.� f. _ .�:�{�:;.;;.,»{�r��..:��:.:n�•v?�:x>�>�F%;;:%<�,�t:�k���� �:w ��:� �:FF;;;F� m%��' :�'�.'' -�•:�' �OS �29 96 �;. PRODUCER ,THIS,CERTIFICATE,IS_ISSUED AS A.MATTER,OF.INFORMATION s' McAl ine Insurance Agency ONLY.AND CONFERS.Nd RIGHTS• UPON THE., CERTIFICATE'i P 9 Y `'' ;-HOI.bth. TI•IIS-CERTIFICAT@'DOES NOT.AMEND; EXTEND OR.' R One Center Place ALTER THE COVERAGE AFFORDED BY THE POLICIES.BELOW- T. :4 ,.COMPANIES AFFORDING COVERAGE '�"' 1550 Route 28 • Centerville, Ma. 02632 cor►PmY A Commerce Insurance Company , INSURED COMPANY A & E Forms, Inc. B Savers- Property & Casualty Co 32 General Holway Road coiriCANY South Yarmouth, Ma. 02664 COMPANY D y���( yl.•:{�xF%.,.:.:.� ;3 :::;r�' :'a'%•�'�-�k:�'•;r':':;:'.'�iFF�/N:'� !'%� ��f' i� fliul,;.A.::,.:�,;A::,.,::;::::.; is,e...,s e.:A.f ,,..:.6:.:..c.6,....n.d,•. {c..,.,e.: ,,::.n:.� , ,..... ♦ .sr THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS r CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY fHE POLICIES,DESCRIBED HEREIN IS SUBJECT TO ALL THE TER r MS; •, •EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLK Y EFFECTIVE POLICY EXPIRATIOti LIMITS LTR DATE(MWDDNY) k DATE(MWDWY) A GENERAL LIABILITY GENERAL AGGREGATE $ 500,000. COMMERCIAL GENERAL LIABILITY PRODUCTS-COM60P AGO $ CLAIMS MADE OCCUR S B P E 3 3 915 0 7/10/9 5 0 7/10/9 6 PERSONAL&ADV INJURY E OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ 50,000, MED EXP(Any one person) $ 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per aoddent) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: :k�:?.}:'<''i>•.EB:;. ,.1,, A EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WC STATU- $ ] I WORKERS COMPENSATION AND TORY LIMITS i ER EMPLOYERS'LIABILITY _.. _ ::.....:.............n.,..:::n,...,..:::. EL EAC WCOOOO530 H ACCIDENT $ B THE PROPRIETOR/ INa 0 6/0 3/9 6 0 6/0 3/9 7 EL DISEASE-POLICY LIMIT $ PARTNERVEXECUTIVE ' OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONSA.oCATIO non Concrete foundations: :R:k'.:^:%�"::.{::.•:•�F`cFF<:'cFF."t: -`F•'^� / yy� FF.�:zv":..c'�`y.o .:.)X.•y.:./.:: `r:y;:kp£:F'k: XE: ,��� ,U:/! •{n-! :.�� s � .c7•tii : : hp� .{ %\::a..ct:vF:�F� ':':fcCwFlY.F::✓�.& ..,. r:�;ri;:F;' :�;:,c{.,,laa:..:::.,::. .,.. •.Ac:• .... v..:isil.L:c4F%4:•:n...:...............n..n.irie{{v'%.:Av:{!6:v�v:i>.v F%J:::fe.,kkW.2�'{.:p�Xj: 4 &iot" ANY bF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DAvid Marshall EID'QUT10N GATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 bAYs WRWr6i NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; P:O: BOX 1192 ur .. • South Ya rm 19 t h Ma : 02664 e kAgaIRE TG IWL SUCH NOTICE SHALL IMPOSE NO OBLIGAnON OR LIABILITY I OE ANY mw UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AREPRESENTATIVE ¢ it?".r�Y Y 7J,c:;<e'{t• ? ::F"N•'! .G]`!+' qi1/i.:47r.7., ��?>ul,.: ':l.*:1. .�/ 'Nf/�y,. ,6•:.<..•,a..:r}4` .o: • : : ?E,F..:..• r .:.................:......1..:.....:7ir,:::�;�.r,:':..rsi:Fr::�:>F:c:':.'•:::;:1.<:.:FF:.^•.k•.'{cc.:.:v//.,.'.:{G>::{.nC{.'c:;::4'::;:;:fi::3:% ;C1. s�i.;...:.:.{cvi:s::!6>5f.�:, :.: �' !�•s^Y:.v :J.',F.•. b,CM... A CORD BMW trip�O wk.X.k• 3•,$�:x:x;:%iG:. ..."..,.�.:.�.,......•.w..,,,.... ...h? y :oFxx°xXx""M DATE(RAM/00"M.. `e .��.?.q•r;•rro�:^:aro>:e:<aewx.xewu.uc:t3E?l'r?3 "::•"fcJ.E�'.Ek'B�X. OS/09 96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fredericka Insurance Agency, Inc• HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 427 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1046 Main street COMPANIES AFFORDING COVERAGE oaterville NA 026SS-0427 COMPANY (508) 426-8999 A SAVERS PROPERTY A CASUALTY CO INSURED COMPANY Bruce 8 Wilcox, Inc B 2 Stonefield Drive COMPANY C Baet Sandwich KA 02537- COMPANY (500) 888 2528 D vx� y x>•A .X ¢ :{1('e,•�}%9{i ��0( y'y+i�•i(i07;kR x..k f.S`.Kx��+Xi�x S�xt•� �.p'+r{��'<• �#:?y£;��x�Mx f.klx>l���o`f��,%yk'�q°#w:Ax�xfiSS"•St xk�X�6X�ap#,%3eox.xif O.o:Owx.x Y.x.k.xd00.0�ww :OSKI.S: :!�fJ!J:!Owk.>'t IJ X•�fJ!P�t•%OlP1.':Xi ox%tto iN Y+.. . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RE4UIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YV) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY / / / / PRODUCTS•COMP/OP AGG S j CLAM$MAPS M OCCUR PERSONAL&ADV INJURY S OWNEA'S&CONTRACTOR'S PROT EACH OCCURRENCE 8 FIRE DAMAGE("one fife) S MED E P g one neon) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Pown) S HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per acefdeng PROPERTY DAMAGE 6 f ' GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO / / / / OTHER THAN AUTO ONLY: N EACHACCIDENT S i ' AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM / / / / AGGREGATE $ _ OTHER THAN VMORELLA FORM S A WORKERS COMPENSATION AND WC STATU• OTM• ENPLOYF)i5'LIABIUTY WC 0090525.00 OS/2S/9S 05/25/96 EL EAC A AOCIDENT $100000 _ THE PROPRIETOR/ INCL EL DISEASE-POUCY UMIT $500009 PAR7NER8/SMOUTI E OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE SS00000 OTHER Ii DESCRIPTION OF OPERATIONS/LOQATIONBNEHICLE3/$PECULL(TENS CARPENTRY, RESIDENTIAL. ............... ., °�'.�?`u;�n%: • ,':�;>::ie'io�o ;!fr'�"G• x wxo:o ,,y. ;.sr.. 'o•x:I{3i .ci e'k>xio» �"%• ;rid#�k•x.c oxgt•Ef ,. 'r,Y.•i.,ifa'E° C� :x:>x: vi i » :(• x...fjj'.pk.�e«'�:'�"x,' i f'F Y.�. ✓.�.•fR.".�.`r .�,}r,n.....r$:8ii"..r......5..<.I4tii»io'.oi::. titl:it:ii: R§:'.I LfoR« a':7f:L k... n.r r pep :'! •Rpf�g 7{'k I :rh•...7s:3..''f ,:w.�.�....G....�.......L bw.0.0 :o.7::E�R'gl.A:ulPfJi� $�x.{ 3:7. O ,.O.v�... � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIU. ENDEAVOR TO MAIL 1 —DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, David Narehall BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1 $03a Forest Rd OF ANY KIND UPON THE COMPANY, ITS A2ENTS OR REPRESENTATIVF.t,. ql South Yarmouth NA 02694 AUTHORI REPRESENTATIV +:: w eax 'lI£ �S'at��" •P p',A��k�< � �,,�.R..n;n '�' e» "�•,k•r r. TOTAL P.01 Application to pNE�N�E tN ' ,-,, �PMS 4�NN`E4EP•N"� • eP� o�Et��`` �, 19 9 6 , 086 Old- Kings Highway Regional Historic District Committee in the Town of Barristable'for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Constructio : X New Building ❑ Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: Q Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK G6T Z� /1101Vrt, 1-14 S-S Cat. ASSESSORS MAP NO. OWNER D,AliAZ— �• ,A&� ASSESSORS LOT NO. HOME ADDRESS x TEL ' �C7 . � ��l� OZ.slp3 . N0. -�?—�/83 - o FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). �� coc..4 03 5IQ�IA1 . 77 AGENT OR CONTRACTOR TEL. NO. ADDRESS U 0�7�C O DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). no - 6 U U��� Signed Owner-Contractor- nt "—Space,below line for.Committee use. t" i 1 bat --4FJ he Certificate is hereby /o V Date 25 e� #Time Approved ❑ IMPO.R.TANT. If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. r7 h Town of Barnstable O,14 ld King's Highway Historic District Committee SPEC SHEET FOUNDATION . SIDING TYPE arc COLOR CHI14NEY TYPE �poo COLOR ROOF MATERIAL A444-T COLOR�,2/r � PITCH �Z WINDOW SIZE / .......... TRIM COLOR DOORS COLOR SHUTTERS GUTTERS DECK eSSCX2� — GARAGE DOORS �T COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along, with three copies each of the plot plan, ® n D landscape plan and elevation plans, o �) applicable. Plot P lan need n of be when "Certified", but should show all structures on the lot to scale. SPECSHT -" . v ° o t EM Al f Ian �•�/ ` e®� ► I �- -1--1 of ILI III I O O ! I ti. i i I I I jL II yl NI S I ` I o � I i M I ^� _ rock�4rs+b„o-t r_o-oi bi i I = i � �Oqj I F. i j�l:lti! �i41E i; `;I ; i i ; I Ili t--I 0 1 I f� � � � � I 'y •> B " c ' C5 'IT O 71 T � I A it•i' ? 1-• '-� �_..__� I . v. � � Jo�9i-o.>z •�'o of-oi�a ��';� •I.I � u - -- - - - - -�-i � ill � b� II•. I I f ~. . )� . . • \ $ ( | } � - Cc q ' � . . . | ! %I » a . 4 }� � � � `� [ . %� ( • . � � . \ � . , ; � . 3-1 Assessor's office(1st Floor): Assessor's map and lot nu r 16'9 013� 00 8EPTIC�< �. ,� ��� e,j THE to`. Conservation(4th Fioor): ��"� `�-� �" �� WSTA LED IN COMPL'A Board of Health(3rd floor): WITH TITLE 5 t ssa»T►nct Sewage Permit number _�/ �. ` :ENVIRONMENTAL CODE � �6 0• ' d' Engineering Department(3rd floor): '� TOWN RAC o exr House number COJ� Q� ��- 'i ONS i Definitive Plan Approved by Planning Board Fj c APPLICATIONS PROCESSED.8:30 T 9:30 A.M.and 1:00-2-00 P.M.only TOWN O'F - BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO sTU/ZZi y,�j� £ ��£(_L!A,C TYPE OF CONSTRUCTION } �l i1)6,c. f NCB 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according towing information: Location ZGT AA2 AZIA/t)S eo 2l, gg Proposed Use /I/lea J MI Zoning District 9 f" Fire District Name of Owner_ % gl 1� 'llg!�R Address Name of Builder (/ALi/zn J ��/14z/ c5�4C� Address C 2 , Name of Architect Address //�� Number of Rooms Foundation 4<"661,P Z, 6AjCX E 7-' Exterior V V DUO S416191—£ VC'L ����'�t6ofing A-101-144- 7— Floors CAO,10,9 T Interior d ieY IA,&gL.L Heating 6T 411 &A-Ig Plumbing �e acts �G �— S T'O V Approximate Cost _ �" /V 0i Area �t�iagra o Lot and uildi Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a above construction. Name 7 Construction Siipervisor's License ✓C�/ouzo No Permit For Location i p Owner• � e Type of Construction " r Plot Lot s l Permit Granted - 19 Date of Inspection: Frame 19 Insulation 19 Fireplace 19 Date Completed 19 ' � Y_•J `mac,�}",'._'` z. Zs% n r Cray" Is f All + ~ t•, � ,,.R. „�,... , r ;� _ _✓ �'ail; ' , ?4 r5 �� � - � 4 .. i, �`t�`�U �F✓�j 1J CiV C T4 4C c� F CZ p�._ : / � } }` '^\ , �,r. � _,�_.l�r � �. Mc�+JiGi FIAt...�..�d�GF-. ��1►IL��I��+ %� ��, �, � � i` '� t� !ram _� � pt a� pir��= ��,,.°��-t'u�l�.ex �c_iZW��,� f•,ivrev• °:.:: // /' t ��-F, ,`'"" •� q.. p���r rtI I,.,oa�irlcT � ptEcA�i U.r.11'rS h�As�-�-�___ .-44 �t 5 P 01k]TS Sv -MLY 1 t0� C� CAI S `rC7 �' (► AGGCIQ l A.�,y, •-. F..-tit�( LIE, S � .,•. ,,! f,. `'" �._.•_-`' } ...._ _..__ _ '� ) ,,,,.,' i�© Gar 2+v Pr p°s�!v ly.C.'rr, f" I WA 1 _ ,� t i D ,c y 1Li ,.,,_ t 2. y _i�L5J 7/4 ir�� Co 6 - 4 , v , Y 1 5 i996 G The �-} /� �•' {� l .. 1 01- .57 b+, ;k.,.- ,� ; ,�,, ,..r,tJ E..r}`-` ✓_:._ �_ L F�- t�c,f D c�vcvrt Cape_ C/7 r(7 —er" l ( InG L b C�Jt1.E +t,11EEQ5 e * , P�oaeo�F �Eat_T� e LAND 5ue�EYceS ,/